Individual
AMBER PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
99 WASHINGTON AVE, SUFFERN, NY 10901-6026
(845) 357-4500
(845) 357-5039
Mailing address
14 OAK ST, GREENWOOD LAKE, NY 10925-2655
(845) 701-2558
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
532590
NY
Other
Enumeration date
11/16/2011
Last updated
10/23/2012
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